Comprehensive Caregiver Supports and Ascertainment and Treatment of Veteran Pain-Reference-Cited by-同舟云学术

Comprehensive Caregiver Supports and Ascertainment and Treatment of Veteran Pain

Published:2023-12-07 Issue: Volume: Page:
ISSN:1077-5587
Container-title:Medical Care Research and Review
language:en
Short-container-title:Med Care Res Rev

Author:

Van Houtven Courtney H.¹²³,Smith Valerie A.¹²⁴,Miller Katherine E. M.¹⁵⁶,Berkowitz Theodore S. Z.¹,Shepherd-Banigan Megan¹²,Hein Tyler⁷,Penney Lauren S.⁸⁹,Allen Kelli D.¹¹⁰,Kabat Margaret¹¹,Jobin Timothy¹²,Hastings S. Nicole¹²¹³¹⁴¹⁵

Affiliation:

1. Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System

2. Department of Population Health Sciences, Duke University School of Medicine

3. Duke Margolis Center for Health Policy, Duke University

4. Department of General Internal Medicine, Duke University

5. Department of Medical Ethics and Health Policy, University of Pennsylvania

6. Leonard Davis Institute of Health Economics, University of Pennsylvania

7. Office of Mental Health and Suicide Prevention, Department of Veterans Affairs

8. The Elizabeth Dole Center of Excellence for Veteran and Caregiver Research, South Texas Veterans Health Care System

9. Department of Medicine, Division of Hospital Medicine, University of Texas Health San Antonio

10. Department of Medicine, University of North Carolina at Chapel Hill

11. Office of the Secretary US Department of Veterans Affairs

12. Caregiver Support Program, Veterans Health Administration, US Department of Veterans Affairs

13. Department of Medicine, Division of Geriatrics, Duke University School of Medicine

14. Center for the Study of Aging and Human Development, Duke University School of Medicine

15. Geriatrics Research, Education and Clinical Center, Durham VA Health Care System

Abstract

Disabled Veterans commonly experience pain. The Program of Comprehensive Assistance for Family Caregivers (PCAFC) provides training, a stipend, and services to family caregivers of eligible Veterans to support their caregiving role. We compared ascertainment of veteran pain and pain treatment through health care encounters and medications (pain indicators) of participants (treated group) and non-participants (comparison group) using inverse probability treatment weights. Modeled results show that the proportion of Veterans with a pain indicator in the first year post-application was higher than that pre-application for both groups. However, the proportion of Veterans with a pain indicator was substantially higher in the treatment group: 76.1% versus 63.9% in the comparison group ( p < .001). Over time, the proportion of Veterans with any pain indicator fell and group differences lessened. However, differences persisted through 8 years post-application ( p < .001). PCAFC caregivers appear to help Veterans engage in pain treatment at higher rates than caregivers not in PCAFC.

Funder

U.S. Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development, Career Development Award

U.S. Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development, Research Career Scientist Program

Quality Enhancement Research Initiative

Center of Innovation to Accelerate Discovery and Practice Transformation at the Durham VA Health Care System

Publisher

SAGE Publications

Subject

Health Policy

Link

http://journals.sagepub.com/doi/pdf/10.1177/10775587231210026

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